JAEHA SONG DPM PLLC
NPI 1528991213
Podiatrist in Phoenix, AZ
About Jaeha Song Dpm Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAEHA SONG DPM PLLC (NPI 1528991213) is a healthcare organization registered as a podiatrist in Phoenix, Arizona and active in the NPI registry since June 2026. The organization lists Jaeha Nmn Song, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaeha Song Dpm Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jaeha Song DPM PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaeha Song Dpm PLLC's NPI number?
The NPI number for Jaeha Song Dpm PLLC is 1528991213. It was assigned to this organization in the NPPES registry on June 4, 2026.
Where is Jaeha Song Dpm PLLC located?
Jaeha Song Dpm PLLC is located at 6633 E Morningside Dr, Phoenix, AZ 85054. The listed phone number is (801) 915-6855.
What is Jaeha Song Dpm PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Jaeha Song Dpm PLLC enrolled in Medicare?
Yes. Jaeha Song Dpm PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jaeha Song Dpm PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jaeha Song Dpm PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jaeha Song Dpm PLLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jaeha Song Dpm Pllc · NPI 1528991213
Podiatrist organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 4, 2026.
## Identity
- **NPI:** 1528991213 (Entity type: Organization)
- **Enumerated:** June 4, 2026
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Jaeha Song, PODIATRIST
## Practice location
- **Address:** 6633 E MORNINGSIDE DR, Phoenix, AZ 85054-6733
- **Phone:** (801) 915-6855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528991213) · Data from the CMS NPPES public registry.